Re: Nearly one year post ATTT

[Guest guest]

Sorry to sound dumb, but could you guys tell me what the ATTT stands

for? I gather it is some type of tendon release???? Is that what

usually is done when a foot relapses???

Thanks,

KK

Livi 01/22/03

Ava 05/27/04 BL Atypical CF/ FAB/s 23/7, 2nd go around

> >

> > For those who don't know Emma's story I'll give a brief summary.

> She was

> > born on October 18, 1999 in Montreal, Canada. She was originally

> treated

> > with weekly castings at the Montreal Shriners for three months.

> Casting was

> > supposed to last 6 months followed by surgery on both feet. When

> Emma was

> > three months of age we took her to Iowa where Dr. Ponseti

> corrected her feet

> > with three sets of casts and tenotomies. We followed the DBB

> routine to the

> > letter until she was 19 months old when Dr. Ponseti had us

> discontinue the

> > DBB for fear of causing permanent over correction. Emma's relapse

> began very

> > slowly and went unnoticed until she was nearly 30 months when it

> had greatly

> > accelerated. The relapse was very mild on the right foot but

> considerably

> > worse on the left. Casting by a local doctor helped the right

foot

> somewhat

> > but the left less so. Dr. Ponseti suggested that we wait until

> Emma was

> > older and do the ATTT.

> >

> > The ATTT was performed on Nov 12, 2003 by Dr. Morcuende. It's

been

> nearly

> > one year, her left foot is now perfect and the right one nearly

so

> with some

> > minor metatarsus adductus. Dr. Morcuende thinks this could even

> improve over

> > time but still won't be of concern if it doesn't. Both Drs.

> Ponseti and

> > Morcuende feel that the chances of another relapse are now gone.

> >

> > I guess I had alot less to say about the results of the ATTT

after

> one year

> > but if anyone has questions please feel free to ask.

> >

> > Dan Montagano

>

>

>

>

>

>

>

[Guest guest]

Yes, the ATTT is a tendon transfer. Emma needed it because the tibialis

tendon had tightened too much to benefit from casting. However, at her age,

she was four at the time of the surgery, going back to the DBB would have

been difficult. The ATTT is also done when there is an imbalance in the

strength of the muscles which pull the feet up and sideways.

Dan

Re: Nearly one year post ATTT

Please refresh my memory. Is the ATTT a tendon transfer? Why did she need

it?

dan&lisa dan_lisa@...> wrote:

For those who don't know Emma's story I'll give a brief summary. She was

born on October 18, 1999 in Montreal, Canada. She was originally treated

with weekly castings at the Montreal Shriners for three months. Casting was

supposed to last 6 months followed by surgery on both feet. When Emma was

three months of age we took her to Iowa where Dr. Ponseti corrected her feet

with three sets of casts and tenotomies. We followed the DBB routine to the

letter until she was 19 months old when Dr. Ponseti had us discontinue the

DBB for fear of causing permanent over correction. Emma's relapse began very

slowly and went unnoticed until she was nearly 30 months when it had greatly

accelerated. The relapse was very mild on the right foot but considerably

worse on the left. Casting by a local doctor helped the right foot somewhat

but the left less so. Dr. Ponseti suggested that we wait until Emma was

older and do the ATTT.

The ATTT was performed on Nov 12, 2003 by Dr. Morcuende. It's been nearly

one year, her left foot is now perfect and the right one nearly so with some

minor metatarsus adductus. Dr. Morcuende thinks this could even improve over

time but still won't be of concern if it doesn't. Both Drs. Ponseti and

Morcuende feel that the chances of another relapse are now gone.

I guess I had alot less to say about the results of the ATTT after one year

but if anyone has questions please feel free to ask.

Dan Montagano